PR-2 Denial Code: What It Means in Medical Billing, Whether You Can Bill the Patient, and What to Do Next
PR-2 is not a denial. When PR-2 appears on your 835 Electronic Remittance Advice, the payer has processed the claim correctly and paid its contractual share. PR is the Claim Adjustment Group Code that X12 and CMS designate as Patient Responsibility. The 2 is Claim Adjustment Reason Code 2, which X12 officially defines as “Coinsurance […]
